Idylwyld Medical Centre
1216 Idylwyld Drive North
Emigrated from South Africa
Medical School: University of Pretoria
(Independent verification not possible)
College of Physicians and Surgeons:
Dr. Shawn Smit Profile
Physicians have easy access to drugs of abuse, either when administering treatment to patients, or by self-prescription. There are consequences to easy access: Over their practice lifetime, 8% - 12% of physicians will experience a substance related problem. This is the most common reason for disciplinary action by State Medical Boards in the USA.
The impaired physician often retains the ability to protect his or her practice performance at the expense of other dimensions of life. Social, family, and emotional problems will often occur prior to career impairment. Frequently, substance abuse pre-dates admission to medical school.
No single sign signifies impairment. Collectively, however, the signs may define a pattern, warning of a potential problem. Colleagues are required to immediately report any good faith suspicion or concern about an impaired professional. The information is treated confidentially to the extent allowed by law. Good faith reports of possible impairment can be made without fear of retaliation.
|Dr. Shawn Smit||Behavioral Clues|
|✓||Outbursts of anger|
|✓||Incongruous expressions of libido|
|✓||Poor memory, poor concentration|
|✓||Declining performance in career|
|Drinking or driving under the influence (DUI)|
|Dr. Shawn Smit||Career Warning Signs|
|✓||Neglect of patients or duties|
|✓||Inappropriate treatment or orders|
|✓||Patient complaints increase|
|Sleeping or dozing on duty|
|Appointments or schedule disorganized|
|Hard to locate; does not respond to pages or calls|
Family physician Dr. Shawn Smit practices at the Idylwyld Medical Centre in Saskatoon. Over the past two years Dr. Smit maneuvered a complete role reversal with me in our doctor-patient relationship. I shoulder the workload because Dr. Smit cannot or will not do the work himself. If I don't turn up information and ideas, then my medical care stands still.
Dr. Smit enjoys the role of being a doctor, and the power it confers. Unfortunately, he has no affinity for science. He is bored by science, indifferent to it. This GP perches on his chrome chair, his posture dispirited, his face a portrait of utter misery, because he cannot wrap his mind around the technical topic depicted on the research abstract or textbook page I just handed him.
His misery has naught to do with how patients conduct themselves. For myself, I appease and placate Dr. Smit, and offer compassion and several “thank-you's” per visit. This route became necessary to fend off his borderline violence.
The only question that matters is whether you continue to climb the learning curve.
At my appointment today, Dr. Smit was suddenly preoccupied with “patients trusting him.” In a tone that alternately browbeat and wheedled, Dr. Smit reiterated this theme, claiming that when a patient looks up topics on the internet, it means the patient “doesn't trust what he says.”
He trolled that fishing line several times. He also fished for compliments: In a loud, self-absorbed voice he asked me whether I believed he had “adequate knowledge.” I replied: “The only question that matters is whether you continue to climb the learning curve.” I added: “As a physicist, I place the same requirement on myself.”
There is a dichotomy: Dr. Smit rages when I read medical subjects on the internet, then turns around and simultaneously holds out his hand for the next installment of print-outs from my internet search for information to guide what to do next.
Dr. Smit's anger is really angst: He fears I will learn from independent sources that his medical advice – except on the most trivial of topics – is misinformed. His memory problems are so severe that almost everything he says is the opposite of what the textbooks say.
His wish for ‘blind trust’ focuses on two chief areas:
During the most intimidating 15 minutes today, Dr. Shawn Smit committed a boundary violation. His posture, normally unremarkable, was now coarse and vulgar. The event was visual (not physical) at the low end of the spectrum – but was accompanied by a domineering voice tinged with glee.
The timing was precise: The event occurred over the minutes when he thought he had successfully run a scam on me – telling me that even Hepatobiliary specialists would say “low-Lipase doesn't matter.”
During previous appointments, I sensed that Dr. Smit got pleasure out of wounding and deceiving people. Today I saw he gets so much pleasure in destruction that his emotions cross the boundary into a sexual charge. [Insight thanks to journalist and author Michael Connelly, source Blood Work.]
After this day's appointment, the accumulated events left me feeling shell-shocked for the next three weeks. Smit's senseless anger was draining, and a sense of betrayal incurs when a family physician is capable of malicious intent.
Tuum Est - It Is Up To You
I settled the matter by answering my own inquiry, as people are apt to do when very much in earnest.
Louisa May Alcott
Graph: Typical biphasic pattern of a healthy pancreas.
Peak: After a Lundh meal, enzyme delivery into the duodenum increases rapidly, reaching a peak within the first hour or even within 20–30 minutes postprandially.
Plateau: Following peak output, enzyme secretion decreases to almost stable secretory rates at lower levels until about 3 to 4 hours postprandially depending on meal size.
Basal State: The fasting level is reached again at the end of the digestive period.
Source: Human Pancreatic Exocrine Response to Nutrients in Health and Disease (British Medical Journal, 2005)
Exocrine glands secrete through a duct. The exocrine pancreas secretes 3 enzymes through the papilla of Vater into the duodenum:
In health: The pancreas matches the quantity of enzymes it secretes to the quantity of nutrients ingested.
In disease: Pancreatitis typically raises enzyme levels at first. If left untreated, parenchyma tissue can be steadily destroyed until enzyme levels fall below normal.
The exocrine pancreas has a large reserve capacity. Overt malabsorption of nutrients and steatorrhoea are late-stage events. This phase is called Pancreatic Insufficiency.
By letter dated Feb 3, 2014 Dr. Shawn Smit said: “The patient-physician relationship must be based on trust … This can only be done in the context of a satisfactory patient-physician relationship in which both partners participate willingly.”
The Better Business Bureau warns: the phrase ‘Trust me’ is a glaring red flag. It is key to crimes of persuasion which always have this fundamental structure:
Affinity Fraud is a confidence game where the trust is pre-existing. Honest people particularly succumb to this insidious crime which exploits the natural trust that exists within a group of people who share common interests.
Fiduciary Duty replaces trust in groups where participants have unequal knowledge or power. Your MD has a fiduciary (legal) duty to act solely in your interests. In the doctor-patient relationship, informed consent is required by law, and is the direct antithesis of blind trust.
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